Hospital

REGIONAL MEDICAL CENTER

Manchester, IA · CCN 161343 · Rates published

5,688 distinct procedures filed

32 distinct payers

557,694 rate rows

2026-05-23 last MRF observed

Data quality

489,476 of 557,694 rate rows are consumer-grade (87.8%)

68,218 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	30,920
exceeds 10× this hospital's gross charge — excluded from medians	27,514
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,766
placeholder amount (≤ $0.02) — excluded from medians	18

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/acdb3a51286ee4c85247c4fa1712961d/charges/mrf
Found on page	https://www.regmedctr.org/patients-visitors/pricing-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	dce94da5618538c1… · 37,681,595 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
00023-9321-05 CPT	Alphagan P	23	$2,208.05	$2,208.05	$2,208.05	—
00046-0749-05 CPT	Premarin Intravenous	23	$2,208.05	$2,208.05	$2,208.05	—
00023-3921-02 CPT	Botox	23	$2,208.05	$2,208.05	$2,208.05	—
00023-9211-05 CPT	Combigan	23	$2,208.05	$2,208.05	$2,208.05	—
00002-7597-01 CPT	ZyPREXA IntraMuscular	23	$2,208.05	$2,208.05	$2,208.05	—
00029-6085-22 CPT	Augmentin	23	$2,208.05	$2,208.05	$2,208.05	—
00002-8215-17 CPT	HumuLIN R	23	$2,208.05	$2,208.05	$2,208.05	—
00023-0812-30 CPT	Fluoroplex	23	$2,208.05	$2,208.05	$2,208.05	—
00023-6110-01 CPT	Zenpep	23	$2,208.05	$2,208.05	$2,208.05	—
00023-9163-30 CPT	Restasis	23	$2,208.05	$2,208.05	$2,208.05	—
00003-0371-13 CPT	Nulojix	23	$2,208.05	$2,208.05	$2,208.05	—
00003-0494-20 CPT	Kenalog-10	24	$1.08	$2,208.05	$2,208.05	—
00002-4182-30 CPT	Olumiant	23	$2,208.05	$2,208.05	$2,208.05	—
00025-2732-31 CPT	Norpace Cr	23	$2,208.05	$2,208.05	$2,208.05	—
00003-2187-10 CPT	Orencia	23	$2,208.05	$2,208.05	$2,208.05	—
00004-0191-09 CPT	Boniva	23	$2,208.05	$2,208.05	$2,208.05	—
00009-5190-01 CPT	Detrol La	23	$2,208.05	$2,208.05	$2,208.05	—
00023-0798-15 CPT	Refresh Tears	23	$2,208.05	$2,208.05	$2,208.05	—
00002-0213-01 CPT	HumuLIN R	23	$2,208.05	$2,208.05	$2,208.05	—
00006-0227-61 CPT	Isentress	23	$2,208.05	$2,208.05	$2,208.05	—
00002-7511-01 CPT	HumaLOG Mix 75/25	23	$2,208.05	$2,208.05	$2,208.05	—
00006-0277-31 CPT	Januvia	23	$2,208.05	$2,208.05	$2,208.05	—
00006-3822-10 CPT	Cancidas	23	$2,208.05	$2,208.05	$2,208.05	—
00006-3823-10 CPT	Cancidas	23	$2,208.05	$2,208.05	$2,208.05	—
00006-4673-00 CPT	Meruvax Ii	23	$2,208.05	$2,208.05	$2,208.05	—
00006-4681-00 CPT	M-m-r Ii	23	$2,208.05	$2,208.05	$2,208.05	—
00006-4837-03 CPT	Pneumovax 23	23	$2,208.05	$2,208.05	$2,208.05	—
00006-4897-00 CPT	Pedvaxhib	23	$2,208.05	$2,208.05	$2,208.05	—
00006-5423-12 CPT	Bridion	23	$2,208.05	$2,208.05	$2,208.05	—
00008-0844-02 CPT	Protonix	23	$2,208.05	$2,208.05	$2,208.05	—
00008-0923-51 CPT	Protonix	23	$2,208.05	$2,208.05	$2,208.05	—
00008-4990-20 CPT	Tygacil	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0003-02 CPT	Solu-medrol 500mg Vial	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0011-03 CPT	Solu-cortef 100mg Vial	24	$18.46	$2,208.05	$2,208.05	—
00002-8315-17 CPT	HumuLIN N (nph)	23	$2,208.05	$2,208.05	$2,208.05	—
00009-5140-04 CPT	Zyvox	23	$2,208.05	$2,208.05	$2,208.05	—
00002-5123-30 CPT	Effient	23	$2,208.05	$2,208.05	$2,208.05	—
00023-0312-04 CPT	Lacri-lube S.o.p.	23	$2,208.05	$2,208.05	$2,208.05	—
00002-8715-17 CPT	HumuLIN 70/30	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0417-01 CPT	Depo-testosterone	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0436-24 CPT	R-gene 10	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0775-26 CPT	Cleocin Phosphate	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0825-01 CPT	Solu-cortef	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0856-08 CPT	Hemabate	23	$2,208.05	$2,208.05	$2,208.05	—
00009-0902-18 CPT	Cleocin Phosphate	23	$2,208.05	$2,208.05	$2,208.05	—
00009-3073-01 CPT	Depo-medrol	23	$2,208.05	$2,208.05	$2,208.05	—
00009-3073-22 CPT	Depo-medrol Novaplus	23	$2,208.05	$2,208.05	$2,208.05	—
00009-3475-22 CPT	Depo-medrol Novaplus	23	$2,208.05	$2,208.05	$2,208.05	—
00009-4992-02 CPT	Zyvox Novaplus	23	$2,208.05	$2,208.05	$2,208.05	—
00046-0872-21 CPT	Premarin Vaginal	23	$2,208.05	$2,208.05	$2,208.05	—

Other procedures at this hospital

Browse this hospital's 5,688 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

00245-5317-01	CPT	Klor-con M10	50	23	$0.62	$0.50	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00338-0023-03	CPT	Dextrose	50	23	$35.00	$28.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0704-30	CPT	Bisoprolol/HCTZ	50	23	$1.14	$0.91 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00245-0860-70	CPT	Vandazole	50	23	$163.04	$130.43 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1316-37	CPT	Isovue-370	50	23	$126.59	$101.27 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00169-4060-12	CPT	Victoza Pen	50	23	$10.87	$8.70	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0701-01	CPT	Bisoprolol/HCTZ	50	23	$1.14	$0.91 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00186-0917-06	CPT	Pulmicort Flexhaler	50	23	$237.12	$189.70	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00245-0212-11	CPT	Midodrine HCl	50	23	$4.16	$3.33	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00258-3711-01	CPT	riMANTAdine HCl	50	23	$1.96	$1.57	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1316-35	CPT	Isovue-370	50	23	$91.50	$73.20	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00299-3838-02	CPT	Metrolotion	50	23	$617.88	$494.30 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00338-0013-04	CPT	Water For Injection	50	23	$37.17	$29.74	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0055-46	CPT	Betamethasone Dipropionate	50	23	$105.65	$84.52 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00169-3696-19	CPT	NovoLOG Mix 70/30 FlexPen	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00173-0719-20	CPT	Flovent Hfa	50	23	$328.60	$262.88 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0415-60	CPT	buPROPion HCl	50	23	$1.94	$1.55 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-0213-01	CPT	HumuLIN R	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00186-0916-12	CPT	Pulmicort Flexhaler	50	23	$317.52	$254.02	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00228-3658-03	CPT	rOPINIRole HCl	50	23	$2.74	$2.19 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00245-0147-01	CPT	Pacerone	50	23	$7.94	$6.35 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00254-2008-11	CPT	Colchicine	50	23	$6.74	$5.39 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00003-0371-13	CPT	Nulojix	50	23	$1,280.24	$1,024.19 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1315-35	CPT	Isovue-300	50	23	$82.45	$65.96 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1412-15	CPT	Isovue-m 300	50	23	$154.56	$123.65	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00299-3820-60	CPT	Metrogel	50	23	$451.74	$361.39 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00300-3641-01	CPT	Lupron Depot	50	23	$896.20	$716.96 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00327-0001-10	CPT	Clorpactin Wcs-90	50	23	$24.15	$19.32	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9924-90	CPT	ceFAZolin Sodium	50	23	$10.00	$8.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0041-60	CPT	Betamethasone Valerate	50	23	$72.00	$57.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0310-04	CPT	Desonide	50	23	$438.41	$350.73	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0337-60	CPT	Triamcinolone Acetonide	50	23	$90.00	$72.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00172-3926-60	CPT	diazePAM	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00173-0695-04	CPT	Advair Diskus 100/50	50	23	$54.62	$43.70	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00173-0881-01	CPT	Nucala	50	23	$5,117.61	$4,094.09	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0410-01	CPT	buPROPion HCl	50	23	$1.69	$1.35 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-8715-17	CPT	HumuLIN 70/30	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0417-01	CPT	Depo-testosterone	50	23	$89.55	$71.64	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0707-01	CPT	Bisoprolol/HCTZ	50	23	$1.14	$0.91 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00186-0016-31	CPT	Atacand	50	23	$3.53	$2.82 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00228-2127-10	CPT	cloNIDine HCl	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00228-3003-11	CPT	clonazePAM	50	23	$0.75	$0.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-0277-31	CPT	Januvia	50	23	$22.92	$18.34	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00245-0057-89	CPT	Klor-con M10	50	23	$0.62	$0.50	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-3822-10	CPT	Cancidas	50	23	$445.78	$356.62 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-7597-01	CPT	ZyPREXA IntraMuscular	50	23	$90.47	$72.38	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-4992-02	CPT	Zyvox Novaplus	50	23	$201.95	$161.56	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-3823-10	CPT	Cancidas	50	23	$463.17	$370.54	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-5190-01	CPT	Detrol La	50	23	$15.70	$12.56	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-4673-00	CPT	Meruvax Ii	50	23	$81.94	$65.55 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-4681-00	CPT	M-m-r Ii	50	23	$166.49	$133.19 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1315-30	CPT	Isovue-300	50	23	$97.02	$77.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-4182-30	CPT	Olumiant	50	23	$109.60	$87.68	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-3921-02	CPT	Botox	50	23	$1,673.76	$1,339.01	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00281-0326-08	CPT	Nitro-bid	50	23	$2.76	$2.21	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00283-0679-02	CPT	Hurricaine	50	23	$38.30	$30.64	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-9163-30	CPT	Restasis	50	23	$387.36	$309.89	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-5423-12	CPT	Bridion	50	23	$233.39	$186.71 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00310-0950-36	CPT	Zoladex	50	23	$750.68	$600.54 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00025-2732-31	CPT	Norpace Cr	50	23	$5.13	$4.10 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00003-2187-10	CPT	Orencia	50	23	$1,763.36	$1,410.69	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9919-01	CPT	glyBURIDE Micronized	50	23	$0.61	$0.49	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0003-15	CPT	Triamcinolone Acetonide	50	23	$4.46	$3.57	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0006-15	CPT	Triamcinolone Acetonide	50	23	$5.58	$4.46 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0062-31	CPT	Zinc Oxide	50	23	$3.23	$2.58 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0203-60	CPT	Clindamycin Phosphate	50	23	$144.23	$115.38 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00168-0323-46	CPT	metroNIDAZOLE	50	23	$85.62	$68.50	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00169-6438-10	CPT	Levemir FlexTouch	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00172-2416-60	CPT	Tetracycline HCl	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00172-7310-46	CPT	cycloSPORINE	50	23	$1.38	$1.10 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00173-0388-79	CPT	Beconase Aq	50	23	$352.03	$281.62 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-5123-30	CPT	Effient	50	23	$18.36	$14.69	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0017-20	CPT	predniSONE	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0018-20	CPT	predniSONE	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-0122-01	CPT	Nitrofurantoin Monohydrate/Macrocrystals	50	23	$1.88	$1.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0045-44	CPT	Ipratropium Bromide	50	23	$111.67	$89.34	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0046-41	CPT	Ipratropium Bromide	50	23	$95.71	$76.57	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0057-46	CPT	Digoxin	50	23	$168.00	$134.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0088-13	CPT	Calcium Acetate	50	23	$1.03	$0.82 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-0227-61	CPT	Isentress	50	23	$39.94	$31.95 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0436-24	CPT	R-gene 10	50	23	$96.25	$77.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0279-03	CPT	Naratriptan	50	23	$29.49	$23.59 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00185-1111-60	CPT	buPROPion HCl	50	23	$3.83	$3.06 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-7511-01	CPT	HumaLOG Mix 75/25	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00225-0525-47	CPT	Ayr Saline Nasal	50	23	$3.18	$2.54 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00228-2539-10	CPT	Carbidopa-levodopa	50	23	$0.87	$0.70	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00228-2778-11	CPT	Propranolol HCl	50	23	$2.06	$1.65	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0902-18	CPT	Cleocin Phosphate	50	23	$17.65	$14.12 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3117-63	CPT	Calcium Carbonate	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-3073-01	CPT	Depo-medrol	50	23	$47.03	$37.62 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3177-63	CPT	dexAMETHasone	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-3073-22	CPT	Depo-medrol Novaplus	50	23	$43.97	$35.18	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-3475-22	CPT	Depo-medrol Novaplus	50	23	$76.30	$61.04 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3532-44	CPT	LORazepam Intensol	50	23	$0.80	$0.64 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3553-44	CPT	Methadone HCl Intensol	50	23	$25.35	$20.28 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3730-63	CPT	Propranolol HCl	50	23	$0.94	$0.75 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-5140-04	CPT	Zyvox	50	23	$138.60	$110.88 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-4571-25	CPT	Methadone HCl	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-8175-25	CPT	dexAMETHasone	50	23	$1.20	$0.96 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-8179-25	CPT	dexAMETHasone	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-8301-25	CPT	Furosemide	50	23	$1.57	$1.26	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-0312-04	CPT	Lacri-lube S.o.p.	50	23	$17.10	$13.68 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-0798-15	CPT	Refresh Tears	50	23	$10.07	$8.06	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-8739-25	CPT	predniSONE	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-0812-30	CPT	Fluoroplex	50	23	$420.00	$336.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00270-1111-02	CPT	Prohance	50	23	$153.20	$122.56	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00056-0172-75	CPT	Coumadin	50	23	$2.78	$2.22 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-4837-03	CPT	Pneumovax 23	50	23	$140.50	$112.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00056-0188-75	CPT	Coumadin	50	23	$2.67	$2.14	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00064-3600-45	CPT	Prudoxin	50	23	$226.69	$181.35 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00006-4897-00	CPT	Pedvaxhib	50	23	$82.00	$65.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0023-15	CPT	Miostat	50	23	$80.42	$64.34	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-6110-01	CPT	Zenpep	50	23	$4.52	$3.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0246-10	CPT	Betoptic S	50	23	$391.27	$313.02	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0275-10	CPT	Azopt	50	23	$411.88	$329.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0397-02	CPT	Cyclogyl	50	23	$52.99	$42.39 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0411-30	CPT	Betadine	50	23	$26.50	$21.20 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-9211-05	CPT	Combigan	50	23	$244.96	$195.97	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00023-9321-05	CPT	Alphagan P	50	23	$233.33	$186.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00008-0844-02	CPT	Protonix	50	23	$17.29	$13.83 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0795-15	CPT	Bss	50	23	$2.50	$2.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0800-50	CPT	Bss Plus	50	23	$68.66	$54.93	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00008-0923-51	CPT	Protonix	50	23	$20.70	$16.56 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-8040-54	CPT	ICaps Lutein & Zeaxanthin	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-8533-02	CPT	Ciprodex	50	23	$298.91	$239.13	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00046-0749-05	CPT	Premarin Intravenous	50	23	$662.49	$529.99 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9928-01	CPT	Ciprofloxacin	50	23	$5.37	$4.30	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9951-01	CPT	Amoxicillin	50	23	$0.87	$0.70	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00069-0469-56	CPT	Chantix	50	23	$10.06	$8.05	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-8215-17	CPT	HumuLIN R	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00069-1306-10	CPT	Retacrit	50	23	$49.64	$39.71 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0003-02	CPT	Solu-medrol 500mg Vial	50	23	$85.28	$68.22 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00046-1102-81	CPT	Premarin	50	23	$8.29	$6.63 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00004-0191-09	CPT	Boniva	50	23	$791.10	$632.88 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00049-0013-83	CPT	Unasyn	50	23	$31.93	$25.54 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00069-6001-21	CPT	Cerebyx	50	23	$218.33	$174.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00049-0014-83	CPT	Unasyn	50	23	$60.29	$48.23 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00072-2203-60	CPT	Eurax	50	23	$17.38	$13.90 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00169-6432-10	CPT	Levemir FlexPen	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00049-0520-22	CPT	Pfizerpen Novaplus	50	23	$52.66	$42.13	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00052-0602-02	CPT	Tice Bcg	50	23	$235.60	$188.48 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00074-3642-03	CPT	Lupron Depot	50	23	$3,066.15	$2,452.92 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00172-5728-60	CPT	Famotidine	50	23	$2.42	$1.94	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00074-3683-03	CPT	Lupron Depot	50	23	$12,264.57	$9,811.66	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00075-0622-80	CPT	Lovenox	50	23	$99.35	$79.48	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00075-2452-01	CPT	Ddavp	50	23	$424.52	$339.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00075-8016-10	CPT	PremierPro Rx Lovenox	50	23	$74.51	$59.61	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0054-05	CPT	Methergine	50	23	$1.71	$1.37	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0102-15	CPT	Parlodel	50	23	$10.74	$8.59 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0248-15	CPT	Neoral	50	23	$12.84	$10.27 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0324-44	CPT	Exelon	50	23	$6.25	$5.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0366-15	CPT	Famvir	50	23	$11.88	$9.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0370-05	CPT	Ritalin La	50	23	$13.78	$11.02 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0408-05	CPT	Stalevo 100	50	23	$9.18	$7.34 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0508-83	CPT	TEGretol	50	23	$2.59	$2.07 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0811-81	CPT	SandoSTATIN Lar Depot	50	23	$5,181.51	$4,145.21	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0818-81	CPT	SandoSTATIN Lar Depot	50	23	$6,788.67	$5,430.94	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00078-0825-81	CPT	SandoSTATIN Lar Depot	50	23	$10,165.53	$8,132.42 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-0370-01	CPT	Elocon	50	23	$65.70	$52.56 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-0539-01	CPT	Intron A	50	23	$1,584.15	$1,267.32 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-0887-09	CPT	Gyne-lotrimin 7	50	23	$7.20	$5.76 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-1264-01	CPT	Clarinex	50	23	$8.76	$7.01	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-1334-01	CPT	Clarinex	50	23	$4.46	$3.57	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0107-25	CPT	Ramipril	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00085-7206-07	CPT	Dulera	50	23	$252.91	$202.33	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00087-0405-01	CPT	Enfamil Poly-vi-sol w/Iron	50	23	$8.56	$6.85	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00087-7718-40	CPT	Cefzil	50	23	$22.48	$17.98 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00087-7720-60	CPT	Cefzil	50	23	$4.67	$3.74	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0775-26	CPT	Cleocin Phosphate	50	23	$12.19	$9.75 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00088-5020-05	CPT	Lantus SoloStar Pen Novaplus	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0825-01	CPT	Solu-cortef	50	23	$62.51	$50.01	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-0041-03	CPT	clomiPHENE Citrate	50	23	$6.86	$5.49	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-0314-01	CPT	Ketorolac Tromethamine	50	23	$2.16	$1.73	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0404-44	CPT	Morphine Sulfate	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-0661-16	CPT	Albuterol Sulfate	50	23	$0.62	$0.50	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-0517-44	CPT	Morphine Sulfate	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-0778-01	CPT	carBAMazepine	50	23	$0.66	$0.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00009-0856-08	CPT	Hemabate	50	23	$252.00	$201.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-0832-01	CPT	clonazePAM	50	23	$0.75	$0.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-1003-01	CPT	busPIRone HCl	50	23	$2.02	$1.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-1177-01	CPT	Neomycin Sulfate	50	23	$1.49	$1.19 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-2065-06	CPT	Cilostazol	50	23	$1.93	$1.54 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3176-44	CPT	dexAMETHasone Intensol	50	23	$32.17	$25.74	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-2210-01	CPT	Sucralfate	50	23	$0.80	$0.64 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-2268-01	CPT	Amoxicillin	50	23	$0.74	$0.59 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-2274-34	CPT	Amoxicillin/Clavulanate Potassium	50	23	$3.78	$3.02 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3270-99	CPT	Fluticasone Propionate	50	23	$93.33	$74.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-3123-01	CPT	Dicloxacillin Sodium	50	23	$1.50	$1.20 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-3160-06	CPT	Cefdinir	50	23	$5.11	$4.09	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-3239-40	CPT	Buprenorphine	50	23	$129.31	$103.45	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-3527-63	CPT	Lithium	50	23	$1.80	$1.44 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-4127-73	CPT	Penicillin Vk	50	23	$11.16	$8.93	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-4137-64	CPT	Cefdinir	50	23	$99.49	$79.59 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-4161-73	CPT	Amoxicillin	50	23	$4.91	$3.93	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-5127-01	CPT	Benazepril Hydrochloride	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-5742-65	CPT	cycloSPORINE	50	23	$5.50	$4.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-6108-12	CPT	FLUoxetine HCl	50	23	$18.51	$14.81	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7270-98	CPT	Pravastatin Sodium	50	23	$4.79	$3.83 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7334-01	CPT	Mycophenolate Mofetil	50	23	$3.97	$3.18	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7367-98	CPT	Losartan Potassium-hydrochlorothiazide	50	23	$2.50	$2.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7382-01	CPT	Venlafaxine HCl	50	23	$2.18	$1.74 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7472-43	CPT	Rizatriptan Benzoate	50	23	$33.25	$26.60	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7620-56	CPT	Letrozole	50	23	$18.13	$14.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-7772-01	CPT	cloZAPine	50	23	$3.33	$2.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-8035-01	CPT	glyBURIDE Micronized	50	23	$0.66	$0.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-8119-56	CPT	Famciclovir	50	23	$12.69	$10.15 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-8940-01	CPT	Acyclovir	50	23	$0.97	$0.78	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-8947-01	CPT	Acyclovir	50	23	$3.67	$2.94	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00093-9107-29	CPT	Mebendazole	50	23	$6.38	$5.10 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00115-0533-01	CPT	Fenofibrate Micronized	50	23	$3.15	$2.52 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00115-1472-52	CPT	Betamethasone Dipropionate Augmented	50	23	$38.16	$30.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00054-8724-25	CPT	predniSONE	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00115-1800-01	CPT	Methylphenidate HCl	50	23	$0.70	$0.56	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00115-2011-01	CPT	Orphenadrine Citrate	50	23	$2.17	$1.74	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00115-3511-01	CPT	pyRIDostigmine Bromide	50	23	$1.28	$1.02 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00056-0169-75	CPT	Coumadin	50	23	$2.47	$1.98	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00056-0170-75	CPT	Coumadin	50	23	$2.58	$2.06 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00264-9577-10	CPT	Dextrose/Heparin Sodium	50	23	$68.91	$55.13	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0504-04	CPT	Acetaminophen-codeine Phosphate	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0581-04	CPT	Haloperidol Lactate	50	23	$54.20	$43.36 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0601-12	CPT	Aluminum Hydroxide	50	23	$7.44	$5.95 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00056-0176-75	CPT	Coumadin	50	23	$2.66	$2.13	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0646-16	CPT	Amantadine HCl	50	23	$0.77	$0.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0659-16	CPT	Sorbitol 70%	50	23	$19.35	$15.48 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0675-16	CPT	Valproic Acid	50	23	$3.53	$2.82 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0675-85	CPT	Valproic Acid	50	23	$3.53	$2.82 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0747-10	CPT	Sucralfate	50	23	$402.40	$321.92	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0002-03	CPT	Nevanac	50	23	$376.14	$300.91 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0770-01	CPT	LORazepam	50	23	$0.66	$0.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0772-16	CPT	HYDROcodone Bitartrate-acetaminophen	50	23	$0.61	$0.49	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0085-15	CPT	Naphcon-a	50	23	$9.41	$7.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0868-50	CPT	Nystatin	50	23	$2.35	$1.88 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0890-20	CPT	Vancomycin HCl	50	23	$57.72	$46.18	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0893-16	CPT	Chlorhexidine Gluconate	50	23	$12.00	$9.60 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0918-40	CPT	Ibuprofen	50	23	$1.88	$1.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0945-40	CPT	Megestrol Acetate	50	23	$3.36	$2.69	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0966-00	CPT	Children's Acetaminophen	50	23	$1.42	$1.14	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-0974-40	CPT	Sucralfate	50	23	$12.18	$9.74 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-1680-50	CPT	Potassium Chloride	50	23	$14.84	$11.87 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-1730-30	CPT	diphenhydrAMINE HCl	50	23	$2.92	$2.34	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-1744-05	CPT	guaiFENesin	50	23	$0.60	$0.48 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0644-35	CPT	Tobrex	50	23	$257.23	$205.78 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0648-35	CPT	Tobradex	50	23	$273.85	$219.08 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-1781-00	CPT	Acetaminophen Children's	50	23	$1.39	$1.11 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00065-0660-10	CPT	Iopidine	50	23	$33.27	$26.62	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00121-4577-40	CPT	Lactulose	50	23	$1.75	$1.40 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00131-1810-67	CPT	Vimpat	50	23	$20.01	$16.01	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00131-2477-35	CPT	Vimpat	50	23	$14.13	$11.30 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00132-0079-12	CPT	Fleet Glycerin Suppositories	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00132-0081-12	CPT	Pedia-lax Glycerin Suppositories	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00029-6085-22	CPT	Augmentin	50	23	$77.68	$62.14 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00132-0202-20	CPT	Pedia-lax	50	23	$1.50	$1.20 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00132-0301-40	CPT	Fleet Mineral Oil Enema	50	23	$2.08	$1.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00135-0199-02	CPT	Citrucel	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-1172-01	CPT	Captopril	50	23	$1.67	$1.34	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-1202-01	CPT	Cortisone Acetate	50	23	$3.13	$2.50 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-1240-01	CPT	Digoxin	50	23	$2.30	$1.84	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00066-0494-25	CPT	Benzaclin	50	23	$204.59	$163.67 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00066-9850-60	CPT	Noritate	50	23	$206.68	$165.34 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00008-4990-20	CPT	Tygacil	50	23	$180.00	$144.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9284-10	CPT	Pantoprazole Sodium	50	23	$26.91	$21.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00046-0872-21	CPT	Premarin Vaginal	50	23	$540.06	$432.05	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9300-10	CPT	Pantoprazole Sodium Novaplus	50	23	$14.08	$11.26 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9310-10	CPT	Etomidate Novaplus	50	23	$11.59	$9.27 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9315-24	CPT	levoFLOXacin In 5% Dextrose Novaplus	50	23	$35.00	$28.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00046-1100-81	CPT	Premarin	50	23	$8.29	$6.63 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9357-10	CPT	Vancomycin HCl	50	23	$65.83	$52.66 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9381-10	CPT	Doxycycline	50	23	$87.19	$69.75 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00046-1101-81	CPT	Premarin	50	23	$8.29	$6.63 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9398-10	CPT	Ertapenem	50	23	$110.40	$88.32 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9506-10	CPT	Etomidate	50	23	$25.75	$20.60	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9509-10	CPT	Ketamine HCl	50	23	$52.75	$42.20	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9534-10	CPT	Linezolid	50	23	$58.80	$47.04 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9564-01	CPT	Phentolamine Mesylate	50	23	$668.73	$534.98 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00069-5474-02	CPT	Cerebyx Novaplus	50	23	$147.48	$117.98 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9574-25	CPT	levETIRAcetam Novaplus	50	23	$10.00	$8.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9587-25	CPT	Glycopyrrolate Novaplus	50	23	$11.59	$9.27 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9593-10	CPT	niCARdipine HCl Novaplus	50	23	$83.39	$66.71 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9622-01	CPT	Labetalol HCl	50	23	$30.19	$24.15 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9637-10	CPT	Valproate Sodium Novaplus	50	23	$71.57	$57.26	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9684-10	CPT	Flumazenil Novaplus	50	23	$26.91	$21.53	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00074-3014-60	CPT	Azmacort	50	23	$154.69	$123.75 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00002-8315-17	CPT	HumuLIN N (nph)	50	23	$0.50	$0.40	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9722-24	CPT	levoFLOXacin In 5% Dextrose	50	23	$35.00	$28.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9729-05	CPT	Benztropine Mesylate	50	23	$112.50	$90.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9746-10	CPT	Terbutaline Sulfate	50	23	$16.56	$13.25	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9784-10	CPT	Flumazenil	50	23	$28.03	$22.42 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9785-10	CPT	Valproate Sodium	50	23	$71.57	$57.26	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9787-10	CPT	Enalaprilat	50	23	$21.98	$17.58 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9872-01	CPT	Propranolol HCl	50	23	$33.12	$26.50	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00074-3663-03	CPT	Lupron Depot	50	23	$7,719.11	$6,175.29	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9887-50	CPT	Amoxicillin	50	23	$4.90	$3.92 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9888-80	CPT	Amoxicillin	50	23	$3.10	$2.48 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00143-9889-01	CPT	Amoxicillin	50	23	$6.09	$4.87 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00338-0043-03	CPT	Sodium Chloride	50	23	$35.00	$28.00 20% off	$2,208.05	$2,208.05	$2,208.05	2026-05-23
00338-0017-03	CPT	Dextrose	52	24	$35.00	$28.00 20% off	$1.80	$2,208.05	$2,208.05	2026-05-23
00003-0494-20	CPT	Kenalog-10	52	24	$10.01	$8.01	$1.08	$2,208.05	$2,208.05	2026-05-23
00009-0011-03	CPT	Solu-cortef 100mg Vial	52	24	$84.46	$67.57	$18.46	$2,208.05	$2,208.05	2026-05-23
00143-9375-10	CPT	Terbutaline Sulfate Novaplus	52	24	$10.00	$8.00 20% off	$6.09	$2,208.05	$2,208.05	2026-05-23
00054-3294-46	CPT	Furosemide	72	30	$31.40	$25.12	$870.00	$2,208.05	$2,208.05	2026-05-23

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